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Organization
WANDERING MIND LLC
Active
Organization
WANDERING MIND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA MELENDEZ TYLER PHD (CLINICAL THERAPIST)
(706) 887-6464
Entity
Organization
Contact information
Practice address
1214 1ST AVE STE 270, COLUMBUS, GA 31901-4276
(706) 566-2386
Mailing address
1214 1ST AVE STE 270, COLUMBUS, GA 31901-4276
(706) 566-2386
(706) 887-6565
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/19/2018
Last updated
01/05/2019
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